The formation of a rhinolith of enormous size in the nose is of curious interest. One must observe and remove it to appreciate its uncanny development in the nasal cavity, and to realize to what stupendous size it may progress before the patient seeks relief for nasal obstruction with its associated fetid odor, discharge and other discomforts.
The largest rhinolith recorded in the literature weighed 110 Gm., had destroyed the septum and turbinate and required Rouge's external operation for its removal.1 Melay2 described a nasal calculus which weighed 85 Gm. and caused symptoms suggesting a malignant growth. Myerson3 reported a nasal calculus weighing 56 Gm., which was so tightly wedged between the septum and lateral wall that he was obliged to remove it through an external exposure of the nasal chamber. Kelemen4 performed a Denker operation to take out a large concretion which had necrosed the
MORWITZ SM. RHINOLITH. Arch Otolaryngol. 1934;20(5):704–707. doi:10.1001/archotol.1934.03600050091009
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